Brewster, Kristen Elisabeth

Brewster, Kristen Elisabeth is an sole proprietor health care provider with primary practice located at 1099 E 400 N , Madison IN 47250-9391. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brewster, Kristen Elisabeth can be contacted via phone (248) 766-3347.

Contact Information

Primary practice address
1099 E 400 N Madison IN 47250-9391
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10002003A Indiana

Profile Details

NPI number 1396102901
LBN Legal business name Brewster, Kristen Elisabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2016
Last updated May 25th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396102901 NPPES
Indiana MEDICAID 300026176
Indiana Other 412840142
Indiana MEDICAID 7100443310

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